Mainly depends on the comprehensive consideration of five major aspects and the treatment experts’ thorough design, individual polishing and organic grasp of the treatment!
I. Patient’s physical condition i.e. medical PST score
1, basic physical quality and the function of the internal organs
2, age and past medical history
3.Whether there are other chronic diseases, such as cardiovascular disease, lung and kidney disease, etc. Wang Jie, Department of Interventional Radiology, The First Affiliated Hospital of Nanjing Medical University
Biological behavior of liver cancer itself
1.The type of tumor is hepatocellular carcinoma with rich blood supply, envelope and clear boundary, or cholangiocellular carcinoma with less blood vessels and unclear boundary.
2.The size and number of tumor, etc.
3.Whether it invades blood vessels and metastasis, invades blood vessels (such as main trunk or branches of portal vein, hepatic vein, even to inferior vena cava, atrium), has intrahepatic metastasis or easy lung metastasis, bone metastasis, brain metastasis, lymph node metastasis; ruptured hepatocellular carcinoma bleeding (easy abdominal implantation).
Third, the degree of underlying liver disease
(A) No hepatitis A, B, C, D, E, etc.
(B) Patients with cirrhosis after hepatitis B, E, etc.
1.Liver function status
Liver function grade A (no ascites, jaundice) is better treated than liver function grade B and C. Patients with obstructive jaundice due to tumor compression, if the tumor is not large, can be treated actively after reducing yellow.
2.Whether the hepatocellular carcinoma is distributed in the right or left lobe of the liver.
3.Whether there are complications of hypersplenism and portal hypertension
4.Social and human environment around the patient
1.Unit and social security.
2.Family situation, whether there is family care, whether there is sufficient financial resources, whether the patient can comply with the treatment.
3. Patient’s personality and psychological condition.